Traumatology

doi: 10.25005/2074-0581-2017-19-1-85-89
OPTIMIZING MEDICAL REHABILITATION IN TRAUMAS OF LOCOMOTORIUM IN CONDITIONS OF POLYCLINIC

S.T. Ibodov1, А.А. Аbduazizov2, S.G. Аli-Zade1

1Avicenna Тajik State Medical University, Dushanbe, Tajikistan
2Khujand Central Health Centre, Khujand, Tajikistan

Objective: To study organization of medical aids in trauma of locomotorium in condition of large-scale amalgamations – polyclinic institutions.

Methods: Analysis of the results of treatment of 910 patients, who received the medical rehabilition in the outpatient clinics of Khujand, Chkalovsk, Kairakkum cities, and B. Gafurovskiy District during 2012-2014 years. Locomotorium traumas were received in production, in everyday life, en route or as a result of traffic accidents.

Results: After removal of immobilizing boards, wound repair, adhesion of chorda, vessels and nerves, patients received comprehensive rehabilitation in the department of medical rehabilition in no later 3-4 days, thus ensuring compliance with the main organizational principles of rehabilitation (early start, continuity and consistency in conducting, comprehensiveness, individuality, continuity). By significant increase of medical and social effectiveness of the outpatient stage of rehabilitation, and in 63.6±2.8% of cases of rehabilitation completed with full functional recovery of the organism function and restoration of orthopedic injuries, 31.8±1.8% – in significant improvement, and in 90.2% cases patients returned to their previous work.

Conclusion: Rational organization of comprehensive rehabilitation of trauma patients with musculosceletal disorders in polyclinic framed as a single rehabilitation system improves,which its quality, reduces the period of temporary disability and economic losses in the national economy.

Keywords: Medical rehabilitation, locomotorium.

Download file:


References
  1. Yermolayev DO, Yermolayeva YuN, Korolyov IN, Mordovtsev AG, Mesnyankin AA. Smertel’nyy travmatizm. Regional’nyy analiz [Deadly injuries. Regional analysis]. Nizhegorodskiy meditsinskiy zhurnal. 2008;1:77-81.
  2. Korolyov VM, Korablyov VN. Organizatsiya meditsinskoy pomoshchi postradavshim s sochetannoy travmoy v usloviyakh travmotsentra pervogo urovnya [Organization of medical care for victims with a combined trauma in the conditions of trauma center of the first level]. Khabarovsk, RF: Izd-vo DVGMU; 2012. 98 p
  3. Mironov SP, Yes’kin NA, Andreeva TM. Bolezni kostno-myshechnoy sistemy kak sotsial’no-ekonomicheskaya problema [Diseases of the musculoskeletal system as a socio-economic problem]. Vestnik travmatologii i ortopedii im. N. N. Priorova. 2012;2:3-7.
  4. Tyurin AS, Gridchik IYe, Shipkov NN. Ispol’zovanie integral’nykh shkal dlya prognoza srokov lecheniya patsiyentov s perelomami kostey taza pri sochetannoy travme [Use of integral scales for the prediction of the treatment time of patients with fractures of the pelvic bones with combined trauma]. Vrach-aspirant. 2012;1:359-63.
  5. Khetagurova AK, Galiulina OV. Mediko-sotsial’nyye aspekty travmatizma v Tyumenskoy oblasti: sovremennye podkhody k sovershenstvovaniyu travmatologicheskoy pomoshchi [Medical and social aspects of injuries in the Tyumen region: modern approaches to improving trauma care]. Sestrinskoye delo. 2008;8:14-8.
  6. Salimov NF, Razzokov AA. Vliyanie vnedreniya sovremennykh tekhnologiy i novykh mekhanizmov finansirovaniya na pokazateli resursnogo obespecheniya travmatologo-ortopedicheskoy sluzhby [The impact of the introduction of modern technologies and new financing mechanisms on the indicators of resource support for trauma and orthopedic services.]. Avicenna Bulletin (Vestnik Avitsenny). 2015;1:247-9.
  7. Bukharin VA, Slukhay SI. Primenenie sovremennykh metodov reabilitatsii pri perelomakh nizhnikh konechnostey [Application of modern methods of rehabilitation for fractures of the lower extremities]. Uchyonye zapiski. 2014;3(109):43-5.
  8. Starodubov VI, Borovkov VN. Tipologiya Rossiyskikh territoriy po urovnyu smertnosti ot transportnykh proisshestviy [Typology of Russian territories in terms of mortality from traffic accidents]. Modelirovaniye v zdravookhranenii. 2010;4:39-47.
  9. Bagnenko SF, Yermolov AS, Stozharov VV. Osnovnye printsipy diagnostiki i lecheniya tyazhyoloy sochetannoy travmy [Basic principles of diagnosis and treatment of severe combined trauma]. Skoraya meditsinskaya pomoshch’. 2008;3:3-7.
  10. Borovkov VN. Otsenka mer, napravlennykh na snizheniye poter’ vsledstviye dorozhno-transportnogo travmatizma [Evaluation of measures aimed at reducing losses due to road traffic injuries]. Zdravookhraneniye Rossiyskoy Federatsii. 2010;1:21-6.
  11. Sokolov V.A. Mnozhestvennyye i sochetannyye travmy [Multiple and associated injuries]. Moscow, RF: Meditsina; 2006. 256 p.
  12. Baranov OP. Osobennosti formirovaniya poter’ naseleniya agropromyshlennogo regiona ot travm i neschastnykh sluchaev [Features of formation of losses of the population of agroindustrial region from traumas and accidents]. Zdravookhraneniye Rossiyskoy Federatsii. 2011;2:41-3.
  13. Likhterman B. Cherepno-mozgovaya travma. Chto delat’? [Craniocerebral injury. What to do?]. Meditsinskaya gazeta. 2009;11:9-13.
  14. Zhuravlyov YuI, Sheremet SA, Tkhorikova VN. Mediko-sotsial’nye aspekty okazaniya ortopedo-travmatologicheskoy pomoshchi patsientam s polimorbidnymi sostoyaniyami [Medical and social aspects of orthopedic and trauma care for patients with polymorbid conditions]. Nauchnye vedomosti. Seriya Meditsina. Farmatsiya. 2014;4(175). Vypusk 25:142-9.
  15. Zhuravlyov YuI, Sheptun PA, Doroshkova NP. Poliparametricheskiy metod sbora i otsenki mediko-sotsial’nogo anamneza sem’i v usloviyakh pervichnoy mediko-sanitarnoy pomoshchi [Polyparametric method of collection and evaluation of the medical and social history of the family in the context of primary health care]. Sistemnyy analiz i upravleniye v biomeditsinskikh sistemakh. 2010;9(1):120-4.
  16. Shilov AM, Avshalumov ASh, Baltaeva RU. Rol’ kompleksnogo obsledovaniya v sisteme pervichnogo zvena zdravookhraneniya («Zolotoy standart» diagnostiki) [The role of a comprehensive survey in the primary health care system (the «Gold Standard» of diagnosis)]. Rossiyskiye meditsinskiye vesti. 2009;214(1):37-41.

Author information:


Ibodov Saidmukim Tilloevich, Doctor of Medical Sciences, Full Professor, Professor of the Department of Anatomy at Avicenna Tajik State Medical University

Abduazizov Abduvali Abduazizovich, physician at Khujand Central Polyclinic

Ali-Zade Suhrob Gaffarovich, Candidate of Medical Sciences, Senior Researcher of the Department of Science at Avicenna Tajik State Medical University

Conflicts of interest: No conflict

Address for correspondence:


Ali-Zade Suhrob Gaffarovich

Candidate of Medical Sciences, Senior Researcher of the Department of Science at Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Avenue, 139

Tel.: (+992) 928 217755

E-mail: suhrob_a@mail.ru

Materials on the topic: